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Table 2 Production cost and profits made from lamivudine 150 mg plus zidovudine 300 mg tablets

From: Antiretrovirals for low income countries: an analysis of the commercial viability of a highly competitive market

Materials cost

Zidovudine

Lamivudine

Daily dose (mg)

600

300

Amount of API per person-year in kg (daily dose in mg X 365 days/1.000.000)

0.219

0.1095

Cost of API (per kg) (lowest quote in the 2010 WHO survey)

315

150

Cost of API per person-year (Amount of API per person-year in kg X cost of API per kg)

69.0

16.4

Cost of API per person-year of both APIs combined

85.4

Number of tablets/day required to administer a daily dose of zidovudine plus lamivudine

2

Cost of excipients and packaging (3.21 per 365 tablets X number of tablets/day X 365 days)

6.4

Subtotal materials cost per person-year

91.8

Non-materials cost per person-year (according to both scenarios)

Indian manufacturer

Publicly owned manufacturer

Indian manufacturer: 78.3% of materials cost

71.9

-

Publicly owned manufacturer: 23.4 X number of tablets/day

-

46.8

Total production cost per person-year

  

Materials cost PLUS non-materials cost

163.7

138.6

Median price paid by low income countries per person- year in 2010

101.4

Profit or loss per person-year at API cost quoted to WHO in 2010

−62.3

−37.2

Profit or loss per person-year when API cost is:

  

20% less than quoted to WHO

−31.9

−20.1

40% less than quoted to WHO

−1.4

−3.1

60% less than quoted to WHO

29.0

14.0

  1. (amounts in $US).